Individual provider Active NPI

Amie M Egbuniwe, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1174881874
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008973 Issued in NC
Practice address
8007 N Point Blvd Ste a
Winston Salem, NC 27106-3268
Phone
(866) 700-1606
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008973 NC Primary

Addresses

Primary practice location

8007 N Point Blvd Ste a
Winston Salem, NC 27106-3268

Mailing address

8007 N Point Blvd Ste 209
Winston Salem, NC 27106-3268
Phone (508) 335-9493

Other names 1

  • Amie Hopkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001170 NC Practitioner - Clinical Social Worker 4183015662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

7850 Brier Creek Pkwy
Suite 102
Raleigh, NC 27617-8900
Phone (984) 263-0846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Dec 1, 2021 Accepting new patients

Locations

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

7850 Brier Creek Pkwy
Ste 102
Raleigh, NC 27617
Phone (919) 748-4878

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

815 Oberlin Rd
Ste 200
Raleigh, NC 27605
Phone (919) 322-4722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1174881874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 N POINT BLVD STE 209",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063268",
            "telephone_number": "508-335-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 N POINT BLVD STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063268",
            "telephone_number": "866-700-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUNIWE",
        "first_name": "AMIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "HOPKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.